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neurosurgerycentreadelaide · 3 months

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Understanding Neck Pain: How Adelaide Specialists Diagnose and Treat This Common Condition

Neck pain is a common complaint that can significantly impact daily life, making even the simplest tasks challenging. Whether it's a sharp pain, a persistent ache, or stiffness, neck pain can be debilitating. Understanding the causes, diagnosis, and treatment options for neck pain is essential, especially if you’re seeking relief. Fortunately, Neck Pain Specialists in Adelaide are well-equipped to diagnose and treat this condition effectively. This comprehensive guide will walk you through the process of understanding neck pain and how Adelaide specialists can help you manage and alleviate it.

Common Causes of Neck Pain

Neck pain can arise from a variety of causes, ranging from minor issues to more serious underlying conditions. Some common causes include:

1. Muscle Strain

Poor posture, sleeping in an awkward position, or overuse can lead to muscle strain in the neck. This is one of the most frequent causes of neck pain.

2. Injuries

Injuries from accidents, falls, or sports can result in neck pain. Whiplash, a common injury from car accidents, can cause significant pain and discomfort.

3. Degenerative Disc Disease

As we age, the discs in our spine can degenerate, leading to conditions such as osteoarthritis and herniated discs, which can cause neck pain.

4. Nerve Compression

Herniated discs or bone spurs in the vertebrae of the neck can press on the nerves branching out from the spinal cord, causing pain.

5. Infections and Diseases

Certain infections, such as meningitis, or diseases like rheumatoid arthritis, can cause neck pain.

Diagnosing Neck Pain

When you visit a Neck Pain Specialist in Adelaide, the first step is a thorough diagnosis to identify the root cause of your pain. Specialists use a combination of methods to diagnose neck pain, including:

1. Medical History

Your specialist will take a detailed medical history to understand any previous injuries, underlying conditions, and lifestyle factors that might contribute to your neck pain.

2. Physical Examination

A physical exam helps the specialist assess your range of motion, check for tenderness, and identify any areas of weakness or numbness.

3. Imaging Tests

Imaging tests such as X-rays, MRI scans, and CT scans provide detailed views of the structures within your neck. These tests can help identify issues such as herniated discs, bone spurs, and other abnormalities.

4. Nerve Tests

If nerve compression is suspected, nerve conduction studies and electromyography (EMG) can help assess the function of your nerves.

Treatment Options for Neck Pain

Once a Neck Pain Specialist in Adelaide has diagnosed the cause of your neck pain, they can develop a tailored treatment plan. Treatment options vary depending on the underlying cause and severity of your pain, but common approaches include:

1. Physical Therapy

Physical therapy is often a key component of treatment for neck pain. A physical therapist can guide you through exercises and stretches to improve your range of motion, strengthen muscles, and alleviate pain.

2. Medications

Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain. In some cases, prescription medications such as muscle relaxants or stronger pain relievers may be necessary.

3. Injections

For severe pain, corticosteroid injections can reduce inflammation and provide relief. These injections are often used when other treatments have not been effective.

4. Chiropractic Care

Chiropractic adjustments can help alleviate neck pain by realigning the spine and reducing nerve pressure. Many people find relief through regular chiropractic care.

5. Surgery

In rare cases, surgery may be necessary to address structural issues in the neck, such as herniated discs or bone spurs. Surgery is typically considered only after other treatments have failed.

6. Lifestyle Changes

Improving your posture, using ergonomic furniture, and making other lifestyle changes can help prevent and manage neck pain. Specialists can provide guidance on adjustments to your daily routine to reduce strain on your neck.

Preventing Neck Pain

While treatment is essential for managing neck pain, prevention is equally important. Here are some tips to help prevent neck pain:

1. Maintain Good Posture

Whether you’re sitting at a desk, driving, or standing, maintaining good posture can help prevent strain on your neck. Keep your shoulders back and your head aligned with your spine.

2. Stay Active

Regular exercise can help keep your neck muscles strong and flexible. Incorporate activities that promote overall health and fitness, such as swimming, walking, or yoga.

3. Ergonomic Workstation

Set up your workstation to support good posture. Use a chair with proper lumbar support, keep your computer monitor at eye level, and take regular breaks to stretch.

4. Proper Sleep Habits

Use a supportive pillow and sleep in a position that maintains the natural curve of your neck. Avoid sleeping on your stomach, as it can strain your neck.

5. Manage Stress

Stress can lead to muscle tension, which can contribute to neck pain. Practice stress management techniques such as deep breathing, meditation, or yoga to reduce tension.

Seeking Help from a Neck Pain Specialist in Adelaide

If you’re experiencing persistent or severe neck pain, it’s essential to seek help from a Neck Pain Specialist in Adelaide. These specialists have the expertise to diagnose the cause of your pain accurately and develop a comprehensive treatment plan tailored to your needs. By working with a specialist, you can find relief from neck pain and improve your quality of life.

Why Choose a Neck Pain Specialist in Adelaide?

Choosing a Neck Pain Specialist in Adelaide ensures that you receive expert care from professionals who understand the complexities of neck pain. These specialists are equipped with the latest diagnostic tools and treatment options to address a wide range of neck pain conditions. Additionally, they can provide personalized advice and support to help you manage your pain effectively and prevent future issues.

Conclusion

Neck pain is a common condition that can significantly impact your daily life. Understanding the causes, diagnosis, and treatment options is crucial for finding relief. By seeking help from a Neck Pain Specialist in Adelaide, you can benefit from expert care and tailored treatment plans designed to address your specific needs. Whether it’s through physical therapy, medications, lifestyle changes, or other treatments, these specialists can help you manage and alleviate neck pain, improving your overall well-being.

If you’re struggling with neck pain, don’t wait to seek help. Contact a Neck Pain Specialist Adelaide today to start your journey toward a pain-free life.

#Neck Pain Specialist Adelaide #Adelaide Neurosurgery Centre

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advancechiropractic · 1 year

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What Does a Chiropractor in North Adelaide Do?

When it comes to maintaining our health and well-being, we often think about visiting a doctor or a specialist. However, another healthcare professional plays a crucial role in keeping us healthy: a chiropractor In North Adelaide, Advance Chiropractic & Wellness is your trusted partner for chiropractic care.

Understanding Chiropractic Care

Chiropractors are healthcare practitioners who specialize in diagnosing, treating, and preventing disorders related to the musculoskeletal system, particularly the spine. Their approach is holistic, focusing on the spine’s alignment and how it affects the nervous system, which, in turn, influences overall health.

Spinal Adjustments

One of the primary techniques chiropractors use is spinal adjustments or spinal manipulation. These gentle, controlled movements aim to correct misalignments or subluxations in the spine. By doing so, chiropractors help restore proper nerve function, alleviate pain, and improve the body’s natural ability to heal itself.

Pain Management

Chiropractors are often sought after for their expertise in managing various types of pain, including back pain, neck pain, and headaches. They address the root causes of pain, offering drug-free, non-invasive treatments that provide relief and promote long-term well-being.

Improved Mobility

Restricted mobility in joints and muscles can have a significant impact on your daily life. Chiropractors work to enhance joint mobility, muscle flexibility, and overall range of motion. This can be especially beneficial for athletes and individuals recovering from injuries.

Preventative Care

Chiropractic care isn’t just about addressing existing issues; it’s also about preventing future problems. Regular chiropractic visits can help maintain good spinal health, reduce the risk of injury, and enhance overall wellness.

Holistic Approach

What sets chiropractors apart is their holistic approach to healthcare. They consider physical symptoms and the patient’s lifestyle, nutrition, and overall well-being. This comprehensive outlook allows them to tailor treatments to each individual’s unique needs.

Choose Advance Chiropractic & Wellness

If you’re in North Adelaide and seeking a chiropractor, Advance Chiropractic & Wellness is your go-to choice. Our experienced chiropractors are dedicated to improving your quality of life through personalised care. Whether you’re dealing with pain, want to enhance your mobility, or simply wish to maintain optimal health, we’re here to help.

Schedule a consultation with our chiropractor in North Adelaide today, and discover the benefits of chiropractic care for yourself. Your journey to better health starts here at Advance Chiropractic & Wellness.

#chiropractor north adelaide

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adelaideacupuncture · 1 year

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Acupuncture Specialist

Acupuncture is believed to assist the mind in launching natural chemical substances that assist sufferers in loosening up, really feeling a sense of calm, and enjoying a constructive impression on more than just physical ailments. Those with neck aches, shoulder pain, or osteoarthritis of the knee are all eligible to take part - Adelaide acupuncture. For more information, please visit our website https://adelaideacupuncture.com.au

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jovialyouthmusic · 4 years

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Silver Service

We return to the hospital to monitor Anton’s condition, and Olivia visits Lucretia again. Liam makes Olivia an offer.

Word count 3542

A/N One of my characters tried to bail out while I was writing this, but I managed to bring her back. Odd how characters take over. No warnings, though it is a little dark - poisoning, threats, implied death of a character.

21 If only it were all simple.

‘Hello husband. You’ve been asking to see me, so here I am. Am I not worth a glance? A word?’ Anton struggled to open his eyes. He knew that voice – whose was it? He felt as if a ton weight sat on his chest, and his head was filled with a thick fog.

‘You had the gall to uphold the outdated concept of an arranged marriage. Even when you knew I wouldn’t honour it, you continued to expect me to capitulate. But Nevrakis never give in. You never had a chance of me being your wife or your Queen.’ It meant nothing to him. Nevrakis? Who was that? Queen? He fought harder. If only he could open his eyes he might be able to speak. If he could speak, maybe he could move…

‘Know this, Anton. Liam is ten times the man you are, and he and I will secure the future of Cordonia. I carry his heir, and I will never be yours. I’ll fight that to the last breath in my body, and Liam will stay by my side, whether he is King or not’

Fight to the last breath?

If you can breathe, you can stand, and if you can stand, you can fight.

The words echoed around his head as the mist cleared, and he drew all his strength together. Everything came flooding back to him.

She carried Liam’s child? When she was supposed to be his, promised to him from childhood – his bride who would rule Cordonia by his side. He forced his eyes open at last, taking in the sight of his betrothed sitting beside him, and with a superhuman effort his hand shot out and he gripped her wrist. He was rewarded by the look of astonishment and alarm in her eyes.

Then that bastard spawn of the usurper Constantine ruined it all, snatching her arm away from him. Something was happening in his chest – squeezing, crushing pain. He fought for breath as Liam and Olivia were pushed away by medical staff.

Was this a heart attack? Why did his head hurt too, throbbing with his heartbeat? He was in the right place, that was certain. This was a hospital, and he was surrounded by doctors. His arm went into spasm, followed by his whole body tensing and stiffening for a moment before going limp, and something happened in his head, something hot which spread outward. He couldn’t move – nothing – not his arms, his legs, his hands, he could not speak or swallow or breathe. The pain increased and terror gripped him. His eyes were the only thing that obeyed his will, and they widened and fixed on one of the doctors, pleading. He seemed to float above his body, looking down as he watched the medics tending to him – able to feel everything, see everything, hear everything – but he could do nothing, make no sound, no movement… then everything went black.

------

Bastien sat beside Anton’s bed. He was as he had been before the King’s visit – alive but not conscious. The difference was that he had suffered a massive heart attack and some strange seizure after which he had to be intubated so he could breathe.

Lucretia had refused to elaborate on the nature of the poison that had been mixed in with the mussel extract that triggered Anton’s allergic reaction. All they knew was that it was a rare Lythican herb whose effects were subsequently unknown.

The swelling on Anton’s brain had subsided, but a head scan had revealed that a clot had migrated there from the one that caused his heart attack, depriving certain areas of oxygen despite his constant monitoring. Only a specialist could even guess at the results of that deprivation, but it was highly unlikely that Anton would recover and be the man he had been before.

Grimly, Bastien surveyed Anton’s features, again slack and unresponsive. If he never regained any cognition, he wouldn’t get closure from the man who had arranged the kidnap of his soulmate, assaulted her and plotted the murder of Lady Adelaide. In Bastien’s mind, those plans almost overshadowed his scheme to gain the throne of Cordonia and most likely rule as a despot far worse than Constantine. At least his former employer had maintained a semblance of benevolence and kindness to his subjects, despite doing things behind the scenes that Bastien still deeply regretted helping him to execute. He had the feeling that Anton’s reign would have been far worse, and he would have fled the country rather than serve him. Who knows whether Anton would have insisted on his loyalty or had him disposed of?

He decided that he didn’t feel the need to talk to Anton. If he had some level of cognition, he was suffering sufficiently. If he was unconscious in every sense of the word, it was pointless. He had already made him regret hurting Sophia, and Drake for Riley. This near vegetative state would atone as revenge for Lady Adelaide, and for Liam and Olivia. He rose from his seat and left the room, nodding to Paulos, the guard at the door, who stood to attention as he emerged.

‘As you were, son. You know the drill – no unscheduled visitors, and only staff that are on the approved list. If there’s an emergency, then any medical staff can be admitted. If you feel the need to observe him at any point, it must be with an approved member of staff. No single visitors or members of staff to be admitted apart from myself or the King. Have you got that?’

‘Yes Sir’ Bastien clapped him on the shoulder.

‘Good man. Contact Lewis in the first instance if you need to, or myself if he’s not available’ Bastien walked steadily away from Anton’s room without the aid of his cane, making for the SUV to go back to the Palace.

------

‘So in conclusion, Lord Severus is in a serious but stable condition.’ Liam said, looking into the TV camera lens in a statement to the nation from his office at the Palace. ‘I feel that he would not wish for us to cancel or postpone any Royal events, and were he able to speak for himself, he would applaud our continuing efforts to raise funds for deserving causes in Lythikos. Duchess Olivia herself has sponsored a brand new intensive care unit in the Lythos General Hospital in the hope that those needing specialist treatment in the Duchy would not lose valuable time having to be transported to the main Capitol Hospital.’ He looked down at his desk ‘Should there be any major change in Lord Severus’s condition I will be informed and will make any relevant decisions as needed’

‘And cut’ the director called ‘Thankyou your Majesty, this will be broadcast shortly’ The TV crew started to pack their things away, and Liam ran his fingers through his hair.

‘Thankyou for your professionalism’ he smiled graciously ‘It’s always a pleasure to work with you’ He hoped that his statement would soften the blow of Lucretia’s publicised confession to poisoning Anton. The popularity of Lythikos within Cordonia was seesawing wildly at the moment, and he intended for everything to end up with popular opinion firmly on Olivia’s side as the wronged Duchess, forced into a marriage she didn’t want and brought up by a ruthless and unfeeling relative. The week or so spent openly in her company would go some way toward softening her image ready for him to announce that she carried his heir.

Day by day it looked increasingly unlikely that Anton would ever be in a fit state to rule the country. CT scans had shown irreversible brain and nerve damage that meant he would at the very least be paralysed from the neck down, and at worst might never regain consciousness. Liam’s archivists and lawyers assured him that being fit to rule was an absolute necessity for any candidate to the throne. He wondered if part of his father’s reason for concealing his illness had been simply to remain in power as long as he could.

Now it was time for him to go to Lythikos for the charity snow sports. Nobles and commoners alike would compete for trophies in skiing, skating, bobsleighing and other events. Nobles would pay for the privilege of competing, and sponsorship for commoners had been invited from local and national businesses. Tickets were on sale to view the event and there would be a winter fair at which medals would be awarded, followed by a Ball at Olivia’s Lodge. Locals were already calling it the ‘Lytholympics’. There would be something to suit every pocket, and people would flock to the Duchy from all over Cordonia now that the King had announced that it was going ahead despite the attempt on Anton’s life.

Olivia was waiting for him in his private lounge, her bags packed ready to leave for her home duchy. She looked tired but a little less pale. Liam went up to her and she offered her cheek for a kiss. He was tempted to hug her, but held back. He didn’t want to crowd her. Instead he took her hands in his and squeezed them.

‘Chin up Livvy, it looks increasingly likely that Anton won’t be in a position to complete his challenge’ She smiled wanly.

‘I wish I could be certain’ she said fiercely. ‘Perhaps I should pay one last visit to my aunt before we go’

‘Only if you feel up to it’ Liam said softly ‘But if you think it would bring you closure, I’m right behind you. We have an hour or two to spare.’ She took a deep breath and stood straight.

‘I think I am, but I’d like to talk to her alone. You can come, but stay outside. We can take the limo to the cottage and then go straight off to Lythikos’

‘Of course. I’ll let Bastien know’

Half an hour or so later, Olivia sat in her aunt’s lounge, waiting for Lucretia. She appeared, but Olivia remained seated.

‘Niece’ the older woman said, sitting in an easy chair beside the fireplace. ‘Will you take tea?’

‘No thankyou’ she said shortly ‘A glass of water will be sufficient. I hope I can trust you not to add any herbal extracts to it’

‘Of course not’ her aunt snorted ‘You’re mother to the royal heir, and Nevrakis only hope of going forward into the future. I did what I did to ensure your wellbeing’ Olivia raised her eyebrow to that but didn’t reply. ‘So what do you want, my dear?’

‘I won’t beat around the bush. I need to know if Anton is likely to recover his senses and make his claim to the throne’

‘Is that all?’

‘Isn’t it enough?’ A maid came in with a tray and set it down on the coffee table. Olivia’s eyes flicked to the teapot and a plate of Lythican spiced cookies.

‘Bring some tap water would you?’ her aunt demanded ‘I’ll pour my own tea’ She did so, and Olivia gritted her teeth waiting. The maid came back with water, and Lucretia sipped her tea.

‘He’ll not recover’ she replied at last. ‘He’s paralysed, I take it?’ Olivia nodded ‘He will remain so, but how long he lingers depends on his constitution. Most who have been – treated in this way never speak again, and generally the poison causes a lingering death.’

‘Generally?’ Olivia asked

‘Oh don’t worry my dear - what I meant was that death is certain, but how swiftly it comes varies - as I said.’

‘Will you reveal what herb it is?’

‘Oh no dear, to be frank I don’t know. Only my herbalist does, and even the identity of that person is unknown to me, as is traditional. You are sadly lacking in certain aspects of Lythican folklore, my girl. But don’t fret, all will be passed on to you in the fullness of time. I look forward to seeing you ascend the throne’

‘I’ll not ask for that’ Olivia said, thin lipped ‘I don’t wish to be Queen. What I do want is that Liam is happy, and he has agreed that by me bearing the heir, he will be content’ Lucretia frowned

‘Not want to be Queen? Are you insane, girl? If you just act like a human incubator, who’s to say he won’t take your child away? He could discard you once he has his heir, and take another woman. Who’s to say he hasn’t made the same arrangement with other women, and promised them the same?’ Olivia’s eyes grew wide.

‘Liam’s not like that’ she said in a low voice ‘He’s not like his father – he’s gentle and caring’

‘Do you think he’ll stay the same with the weight of the crown on his head?’ Lucretia scoffed ‘Power corrupts, and he is his father’s son. He was not raised to be King, and he has barely had time to adjust to his new role. Demand to be the Queen you should be, Olivia. Hold the King to ransom – refuse him your child. Shut yourself off, close the borders of Lythikos or flee to exile if he refuses.’ She leaned forward, stabbing a forefinger at her niece to make her point. ‘You know you would be Queen if he becomes incapable of ruling, and that would be so very easy for me to arrange’

‘Are you threatening to do the same to Liam as you did to Anton?’ Olivia gasped. ‘What sort of monster are you?’

‘The monster that will fulfil the ambition of our family’ she replied ‘If you won’t make sure of your accession to the throne, I will’

‘I’ll see to it that you don’t’ Olivia hissed ‘You won’t meddle in my life any longer, you old witch’ Lucretia sat back and smiled, and Olivia rose with dignity and left the room.

---------

Liam was waiting for her outside the cottage. She was tight lipped and pale with rage.

‘Lets get out of this place’ she said ‘Let’s go to Lythikos’ She made for the car, and Liam followed her. She sat back in the seat, letting her head drop back against the leather headrest and closing her eyes, her hand going protectively to her belly. Liam sat back too, but remained silent for a while. He wanted to know what had her riled up, and the sooner the better, to help her to calm down. As the limo swept out of the Palace gates onto the main road, he leaned forward to close the security screen between them and the driver and switched off the intercom, a red light showing its status. He turned to Olivia as she opened her eyes and looked at him in query.

‘Tell me what she said, Livvy. No-one can hear us, it’s just us’ Olivia swallowed and turned her head to him.

‘You need to put her under maximum security’ she said, her gaze urgent ‘No contact with anyone outside, not even her lawyer. She got a message out though her before and god knows what other tricks she has up her sleeve’

‘Why Livvy, what danger does she pose? Can she have Anton wake up?’

‘No’ she said shortly. ‘Death is certain, though she couldn’t say when’

‘She said something about the end of the week’ Liam replied. He inclined his head and reached out for her hand. ‘That’s not all, is it?’ She shook her head

‘It’s only fair to tell you that she threatened to do the same to you’ Liam felt the colour drain from his face, and she made a hollow laugh ‘After all, if anything happens to you now, I become Queen’

‘You said you didn’t want that’ Liam said levelly. She tutted in exasperation

‘I don’t.’ she said, and raised her green eyes to his ‘I only want you to be happy’ He took a deep breath.

‘What if you were Queen?’ he asked ‘would she back off then?’ Olivia blinked, and stared at him.

‘What if I…’ her voice trailed off ‘I - I don’t know’ she said simply, then started again ‘What do you mean?’

‘If I made you Queen, she’d have no reason to have me assassinated’

‘I – who knows what goes on in that bitch’s mind? But Liam…’ she protested.

‘If it would put your mind at rest, stop you worrying, I’d do it’ he said ‘Why not? You can do as much or as little as you like, and we’d be together to bring up our child. When Leo abdicated, I expected to be forced into marrying Madeleine, with a Cordonian arrangement.’

‘I can’t believe you just said that’ Olivia said, aghast ‘After all we’ve been through’ She turned away from him, biting her knuckle. He was sure that if they’d not been in the limo on their way to Lythikos, she would have slapped him or stormed out.

‘Hear me out, Livvy’ he said ‘You’ve – well you’ve changed since you fell pregnant. You’re – you’re softer.’ He struggled for words. ‘I don’t look at other women the same. Or men, for that matter. You’re carrying my child. I just want to keep you both safe.’ She turned to him, fire in her eyes

‘So I’m just a human incubator to you – that’s what Lucretia said’

‘No Livvy, that’s not it’ he said ‘It’s more than that. We have a connection, always have had, but Father tried his best to break it. Now he’s gone, I realise. I’d never do anything to hurt you’ he said.

‘You say that now’ she said ‘But you have a country to run. I’ll never be more important than that’

‘Then help me to do it’ he said simply. She stared at him

‘I never wanted that’ she said ‘Leo was going to be King, and we – I always thought that we’d have some sort of relationship, even if I was just one of many’ He sighed

‘And I never expected to be King, you know that. Livvy, you and Drake are my oldest friends. It looks like Drake is involved with Riley – I don’t know how long he’ll stay. He came back from America for me, I can’t ask him to sacrifice his happiness for me’

‘And you can ask me?’ she said

‘But you said you wanted me to be happy’ he pointed out. ‘What would make me happy is to have a loving family, and we’re halfway there. Being King is – well of course it will be my duty for my country to come first – but whatever is left over is yours, and our child’s’ He smiled ‘I won’t have time for lovers, I’ve realised that.’

‘What if I want lovers?’ she said shortly. His face dropped. She felt cruel for asking him, but the question bubbled up and was out of her mouth before she could stop it – typical Nevrakis hot headedness, she told herself.

‘I would hope I would be enough – but if you did…’ he looked out of the window at the passing scenery. ‘I don’t know Livvy, it’s too early to say. Who knows what life will bring.’ She relented, taking his hand, wanting to banish the hurt in his eyes.

‘I’m sorry, that was callous of me. We should focus on the baby, and what he or she needs. I think we’ll both have enough on our plates being parents.’ She paused. ‘Liam, have you made any arrangement like this with anyone else?’ he stared at her

‘No, of course not’ he replied, shocked.

‘I have to ask. Lucretia brought it up’ His jaw tightened at her words.

‘She’s been pouring poison into your ears. Just what else did she say?’ Olivia closed her eyes in thought. She related everything to him as the limo made its way along the increasingly steep roads. Anger rose in him as he heard what the old woman thought of him.

‘I’d never take your child away from you.’ He said earnestly. ‘I’m determined not to follow my father’s example. I can have Lucretia locked away in maximum security if it would make you feel better. My feeling is that she would do anything to get you on the throne, and probably more to keep you there. I’m superfluous to her. She only cares about getting your family on the throne, with or without me.’ Olivia nodded reluctantly

‘I know. Once I was on the throne, who’s to say she wouldn’t try to have you assassinated?’

‘Livvy’ he said, taking her hand and squeezing it. ‘You know how many attempts there have been over the years. If it wasn’t her, it would be someone else. I’m still at risk no matter what. At least if she was locked away it would make it difficult for her and she’d be a known threat’ Olivia twisted her hands in her lap and sighed

‘I’m exhausted’ she said ‘I’m going to try and get some sleep. We can talk later.’

‘Okay Livvy. But I’m serious – I’d make you my Queen to make both our lives easier’ A faint smile crossed Olivia’s lips as she settled back.

‘I don’t doubt your sincerity, Liam’ she said ‘I’ll think about it’

@sirbeepsalot @stopforamoment @drakesensworld @katedrakeohd @texaskitten30 @be-still-my-aching-heart @hopefulmoonobject @dcbbw @classylady1234 @rainbowsinthestorm @kimmiedoo5 @bascmve01 @ibldw-main @addictedtodrakefanfic @trappedinfandoms @ravenpuff02

#silver service #king liam #liam x olivia #protect and serve #bastien lykel #lucretia nevrakis #olivia nevrakis

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cryotherapyadelaide · 2 years

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Know About Float Tank Therapy and All Its Benefits

Floatation, or, in short, float therapy, has been gaining popularity over the past few years. And the hype is understandable. This therapy is also known as sensory deprivation therapy, allowing you to spend hours by yourself. No disturbance ordistractions, just you and your thoughts floating in a 10” water-filled high peacefully.

You will actually be in a tank during your alone time. And it has been reported by many people to improve their decision-making capabilities and circulation. So, should you find a reputed centre that offers float therapy in Adelaide? Do you need this unique therapy session? Let’s find out:

A Great Stress-Buster

Stress is a constant companion of many people. Although there are several ways you can stress relief at home, there are also several distractions. Hence, being inside a tank away from all possible distractions can truly pay off. You will hear no sound nor see anything; your senses will be focused.

Float therapy has been shown to help in anxiety reduction. According to recent research, a single one-hour session in the float tank was proficient in reducing anxiety and improving mood in 50 people with anxiety and stress-related issues.

Float Therapy Improves Concentration

Very few therapies can provide the same level of relaxation as flotation treatment. Even if you are fully awake, this degree of relaxation promotes vivid visualisation as well as lucid dreams.

Float treatment can be a unique tool for assisting you in performing at your absolute best all of the time. This type of treatment will help you focus on the areas that need complete attention. So, if you're an athlete preparing for a big game or have to prepare a speech, this therapy can help.

You’ll Sleep Like a Baby.

If you have been missing out on your sleep, you must book at least one session of this therapy. Even though specialists suggest a couple of sessions, but you might see some changes in your sleeping habit with one. Spending 90 minutes in a float tank in Adelaide would be enough to give your mind the rest it needs. You’ll be calmer and can focus on your inner thoughts better. This will also help you to come up with solutions to problems that might be keeping you awake at night.

The brain hemispheres can synchronise during a floating session.Research has shown the two separate sides of the brain communicate more seamlessly in this way. Some benefits of this type of communication between the right and left hemispheres are:

· Increased imagination

· Stronger non-linear links

· And deeper realisations

The Physical Advantage

It has been proven that sensory deprivation therapy or floating sessions can reduce chronic pain. Physical pain such as headaches, full-body pain and tension in muscles can be healed with each session. Moreover, any physical pain due to range of motion can also be treated with it. So, if you have a stiff neck or experiencing whiplash-related issues, get into the float tank. And lastly, you will become a happy and more positive person with this therapy. So, why not invest a little in happiness?

#Float Tank Adelaide #Infrared Sauna Adelaide #Flotation Tank Adelaide #Adelaide Float Tank #Sensory Deprivation Tank Adelaide

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rochellebuckleyhandmade · 6 years

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This is another post where I just don’t know where to start.

I feel it is important to give you a little background so you can appreciate the enormity of what I’m about to share.

For those of you who don’t already know, I have acromegaly. A rare pituitary tumour that causes all sorts of grief and problems (I’ll expand more on that in a later post). I think it was about 2007 when my diagnoses was finally confirmed. I say “I think” because I have a dreadful memory. I like to blame the tumour for that one.

It was long before my diagnosis that I knew something was wrong. I don’t know how long the tumour had been living quite comfortably on my pituitary, some specialists believe it may have nested either after the birth of my first born or shortly after the birth of my second. There’s no way to know for sure. My first child was born in 1995 and my second was born in 1998 so it may have been around for some time.

I remember struggling terribly with depression and anxiety which really began or esculated after the birth of my first. It was really bad, although there were extenuating circumstances, every medical professional I sought help from told me to suck it up and be grateful for the beautiful little girl I held in my arms. Not even a mention of post natal depression. I can’t help but wonder now if that tumour may have been responsible to a small degree.

As the years ticked by, the depression esculated exponentially and there didn’t seem to be much I could do to stop it or even ease it.

By the time I was working I had piled on a stupid amount of weight but I didn’t understand why. My joints began to hurt, I ached all over and I was always tired. The job I had at the time was managing a not-for-profit that mainly provided free or low cost groceries to those who needed a hand up. The store was located in an industrial building with concrete floors, tin roof, no heating, no cooling and not much of anything else either. Although I only worked two and a half days a week I was always exhausted, increasingly tired and so, so sore.

Me almost at my heaviest of 253kgs

I tried for years to tell my doctor there was something wrong with me but again, I was told I was just too fat and needed to lose weight. Problem was, I couldn’t lose weight. I tried everything, every diet and exercise known to man at that time. Exercising became just too hard. The pain of simply walking was unbearable. I begged my doctor to help but again and again I was told I was just too fat.

I tried to continue living my life but I couldn’t. I had to quit my job because I could no longer walk, stand or get any relief from the pain.

I finally decided to see another doctor and I remember at one stage telling him that I’m not aching because I’m fat and weight bearing. If that were the case, why did my hands, wrists, jaw, neck ache and burn and hurt so much especially since they’re not weight bearing.

To cut a long story short, my doctor could see that I was very unwell, despite every test returning negative results. It was so disheartening and depressing. Why was I like this? What on earth is wrong with me? I began to think it was all in my head. Was this something I’ve subconsciously created to overcome past hurts and failures? Surely past stress couldn’t manifest into something this bad.

Finally, in 2007 I received a diagnosis. Acromegaly. I sat in my endocrinologist office and wept tears of relief. To know that it was not in my head and there really is an illness was one of the biggest reliefs of my life.

I travelled from Lake Macquarie near Newcastle to Adelaide in September 2010 just one day before my 36th birthday to have the tumour removed. It was such an adventure. I loved seeing more of this beautiful land in which we live and although I was incredibly ill, I remained wide eyed and completely enthralled on our journey.

Here I am in Rundle Mall, Adelaide just one day before surgery to remove pituitary tumour. I had a craving for fresh oranges at the time.

By the time I was ready for this surgery I was quite unwell. My weight had ballooned to over 200kgs (223kgs to be exact, that’s 492lb or 35 stone). I had lost the feeling down my left side, I could barely speak, partly due to swelling of soft tissue and I could not walk unaided. My vision was deteriorating rapidly and I was struggling to see. My hands stopped working and I could barely even feed myself. The tumour had wrapped around my carotid artery and invaded my cavernous sinus. The surgeon was convinced he would NOT be able to remove it entirely. I could no longer drive and I was forgetting everything. I even forgot how to cook and I had almost no memory of my past. I used to spend evenings with my sister as she regaled me with tales of my children growing up because I just couldn’t remember. My mind was empty.

By this stage I had been receiving monthly injections of Sandostatin LAR or Somatuline Autogel for the past three years (from the time of diagnosis until surgery). Gee did this stuff made me sick. My stomach hurt all the time, I would spend a considerable amount of my day on the bathroom. My hair fell out, my skin hurt, and I had a collection of cricket ball sized lumps on my rump at injection site that would become very bruised, itchy and lasted about three months each.

I felt like crap constantly.

The tumour was removed successfully and entirely by Mr Santorenos. Despite being told that I would not make it through surgery, mainly due to my morbid obesity, I’m still here to tell my tale. We were told, since I was so over weight and so ill, I could expect to be in ICU for up to six weeks and another twelve on the ward and in rehabilitation – that is of I even survived surgery and didn’t have a heart attack or stroke.

Here I am back on the ward after leaving ICU. You can clearly see the fashionable nasal tampon, vomit bag and towel to try to relieve my thumping migraine.

I was out of ICU within 12hrs and discharged from hospital five days later.

Then my challenges began. Again. My recovery was incredibly slow, arduous and painful. Regrettably I thought that everything would just go back to how it was pre-tumour. Oh how wrong I was. Why didn’t someone tell me it would be so bloody hard? I spent the next twelve months flat on my back in bed. I put this down to over doing it after being discharged from hospital. We traveled home via the Great Ocean Rd from Adelaide to Newcastle. It was stunning, breath taking and totally divine, but I had diabetes insipidus as a result of surgery. Cerebral fluid was leaking from my nose and every time we climbed a small hill in our car my nose would bleed and leak fluid, not to mention my smell and taste had gone after my olfactory glands had been damaged during surgery. This meant I would never smell or taste again. Something that I would have appreciated being told about pre-surgery, even if just to psychologically prepare.

The beautiful Loch Ard Gorge on the Great Ocean Road. I managed to kill my good DSLR on this trip. Just being sick and clumbsy.

Just at the end of my twelve months of being too ill to get out of bed, where my children had to feed me, toilet me, do all of the housework and everything in between, my husband left. At the time, I never saw it coming. I went into shock, my blood pressure went through the roof and as a result I lost my eyesight. Completely. No one knew if it would ever return. It did three months later. Not only did it return but some four years later, my eyesight (an astigmatism and shortsightedness) has improved so dramatically I need to get a new prescription every twelve months. My optometrist believes I will not need my glasses at all soon.

There has been so much that has happened between then and now. Challenges, crap, really tough times, including an horrific single car MVA just over twelve months ago in which I broke my neck in two places, my collarbone, five ribs and a bone in my ankle. I’ve struggled terribly with depression and anxiety and have found it very difficult to hold down a job with the chronic pain I experience.

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Me in hospital trying to walk again after my accident

I recently left the job of my dreams. I was so incredibly crushed. I loved the job, my work, the people, clients, my boss and my colleagues. Unfortunately the workload became just too much and my body and brain could no longer cope. It just did not end well and I went into shock and commenced another cycle of grief. I am incredibly thankful that this cycle did not last long, thanks to my family and wonderfully amazing and supportive friends.

I can’t deny that my life has been pretty darn challenging but I am here to give you all hope and hopefully joy in your heart.

You see, whilst I was laying in that hospital bed in Adelaide some five and a half years ago, I started a rather rudimentary bucket list. In all honesty I never, ever believed I would be able to check any items off my bucket list, given my health challenges and my lack of financial stability (due to being unable to work for so long and fork out on medical expenses).

A few weeks back, I experienced a few events and read some stuff that has really given me a kick in the pants. This was a culmination of events, including my beautiful boy being beaten by an unknown drugged young man, a friend posting an interesting letter written by an 18 year old to his father and a blog article that, along with a few other things have combined to change my life for the better.

As a result of these events and with enormous thanks to my amazing, supportive, encouraging friends and family, I am beginning to see my bucket list come to fruition. Please remember that I have been told time and time again that I would never walk again, by now I should have been confined to a wheelchair at best. I should not be able to talk and I would be incredibly lucky to have survived beyond my 38th birthday. This year I will celebrate my 42nd birthday and between you and me, I plan to celebrate many more.

Well, I am here to prove those doctors and specialists wrong and offer hope to my fellow Acromegaly sufferers, those who battle mental health, those who can’t find the strength to go on. You can do it. You really can. If I can negotiate my way through this thing we call life, so too can you. Please, I implore you, DO NOT GIVE UP, EVER!

So what is it that I can share here with you today that I have checked off my bucket list?

Wait for it….

My dear friend took me skydiving!

Yes, you heard right. Skydiving.

Now, to most of you this may not be such a big deal, but for someone with a chronic illness, someone who has battled anxiety, panic attacks, depression and bucket-loads of self doubt, Someone who is completely terrified of heights and even more so of flying, this is MASSIVE!

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Check out that goofy grin that hardly ever leaves my face. My dive instructor was absolutely amazing and I cannot recommend the team at Skydive The Beach and Beyond, Newcastle highly enough. I cannot thank my dear friend Doug enough either. Without his constant support and belief in me, not to mention his spontaneous suggestion I attend with him the evening before over dinner with Bec, I would never have accomplished this dream. Heartfelt thanks to you Doug.

Yes it was raining, yes it was freezing but it was so flipping awesome I just can’t wait to do it again.

If I had listened to those most of those doctors, specialists and other naysayers, I would not have experienced one of the most amazing thrills of my life. I would not have checked another item off my bucket list, I would not have found the courage and strength to over come. I would not be here today offering encouragement and moral support to you.

Please do not ever give up on your dreams. I can completely understand that life can be one great big fat challenge, obstacle and barrier, but please try to not let it beat you.

This event took place just four weeks ago and I have so many other adventures to share with you since.

Stay tuned and find joy.

Please scroll down to the bottom of our page to leave a comment. We would LOVE to hear from you.

Learning to Live Again – New Adventure #1 This is another post where I just don't know where to start. I feel it is important to give you a little background so you can appreciate the enormity of what I'm about to share.

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leeannclymer · 7 years

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Blog Post: 2017 RAND Study Evaluates Occupational Disability Guidelines (ODG)

RAND Corp. published its review of the (1) Technical Quality and (2) Clinical Acceptance of the Occupational Disability Guidelines (ODG) published by Work Loss Data Institute (WLDI). This paper briefly discusses the RAND report.

Who Is Work Loss Data Institute (WLDI)?

WLDI publishes the ODG, arguably the most successful treatment guidelines in the occupational medicine space. Over 100,000 users support the platform. Continually updated, ODG incorporates over 10,000 ICD-9 codes, 65,000 ICD-10 codes, and 10,000 CPT codes. ODG distinguishes itself from its primary competitor, American College of Occupational and Environmental Medicine (ACOEM), claiming independence from any medical specialty group.

Hearst, the media empire, bought and placed WLDI in 2016 under its MCG Heath Unit, which is itself under Hearst Health.

Move to Evidenced-Based Medicine (EBM)

As workers’ compensation systems struggled with runaway medical inflation, states adopted a system of Utilization Review (UR) to combat what many saw as the business of medicine; that is, healthcare providers pursuing treatment merely for reimbursement instead of improving patient outcomes. Groups of specialists created self-described standards of care based on a consensus of their members and not on any evidence their proposed treatment resulted in better outcomes.

EBM demanded treatment decisions based not on consensus of medical professionals who predictably would defend their medical turf and bottom line (this consensus often depended on the area of the country or even state). Instead, EBM advocates believe proper medical treatment should not differ from state to state. Patients should receive the best care as determined by the evidence. What works in California should work in Florida.

WLDI was uniquely well positioned to take advantage of the EBM movement as state after state sought to reform their workers’ compensation systems and lower medical costs. Indeed, ODG can (and does) tout their role in reducing medical costs and unnecessary care in many states.

Of course, these efforts lower the income of many healthcare providers by reducing the level, frequency, and duration of treatment. Many healthcare providers, injured workers, and their attorneys criticized the use of EBM and treatment guidelines as “Cookbook” medicine. Were the guidelines really evidenced-based or simply a fancy cost-containment mechanism?

A Guideline to the Guidelines

Just as ODG attempts to assess the efficiency of medical treatment, soon the guidelines themselves were subjects of review and rightly so. RAND published a review in 2004 and ODG finished second in the rankings (WLDI claims 72 guidelines were assessed. RAND claims 5). WLDI trumped this distinction. Texas regulators cited the RAND findings when it adopted the ODG in 2005 as the official treatment guidelines of Texas, resulting in a significant reduction in medical costs.

In 2009, Adelaide Health Technology Assessment (AHTA) evaluated 27 guidelines worldwide. ODG again finished second to a little used Canadian guideline for diagnostic imaging.

WLDI cited these two studies often, claiming ODG “has been ranked among the best and most rigorous in the world for technical quality by RAND Corp. and other”.

The federal government got into the guideline evaluating business when the Agency for Healthcare Research and Quality (AHRQ) created the National Guideline Clearinghouse. WLDI claims they sent AHRQ a withdrawal letter on June 16, 2016. AHRQ’s Mary Nix stated, “We have a higher bar now for the evidence underpinning the Guidelines.” Ms. Nix goes on to say, “We were not able to…assure that systematic evidence review was conducted for each of the topics that they cover in ODGs.” At the same time, RAND was studying ODG leading to the 2017 report.

RAND’s 2017 Evaluation of ODG

Like AHRQ, RAND Corporation now subjects guidelines to more rigorous standards. As such, RAND “aims to assess ODG’s Technical Quality (the rigor of development methods) as well as Clinical Acceptability (the perceived validity of the guideline in the eyes of diverse clinical experts).”

RAND has not repeated its landmark 2004 review of medical treatment guidelines. (They have evaluated guidelines for specific purposes. For example, the 2013 review of guidelines for opioid treatment). Why RAND chose to single out ODG and not study any other guidelines using the new, more stricter standards is not explained. RAND’s website does not list any review of any other treatment guidelines used for occupational injuries. Yet, RAND’s appraisers acknowledge reviewing other guidelines. (“Note: the appraisal team has yet to find a guideline with a systematic review that does this.”) So, instead of reviewing all guidelines (a repeat of the 2004 study) or guidelines in the workers’ compensation space, RAND reviewed the ODG only.

RAND essentially offers numerous criticisms mostly attributable to a tougher test; that is, the assessment tools for guidelines are now “stricter”. For example, the two tools (AGREE II and modified AMSTAR) were neither available nor used in the 2004 review. Many of the problems are due to the lack of documentation or discussion of methodology. RAND questions if the documentation and methodology problems are due to limited involvement of appropriately-trained methodologists which are important under the new, stricter criteria or something worse.

Technical Quality

All four RAND-selected appraisers recommend ODG for use with some modifications. ODG scored a 58% (on a 100-point scale) using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) scale. RAND uses a 100-point scale, but the scores are not assigned a Grade (e.g., A, B, C, D, F). Finding that the ODG has technical quality limitations, RAND concludes, “Therefore, the development methods, as reported by WLDI, fall short of the highest quality possible, particularly those of the literature reviews supporting the guidelines.” RAND provides a list of strengths and weaknesses as well as specific ways in which the technical quality (many limitations appear to be methodology related) could be improved.

The authors provide supporters and critics alike numerous “billboard” material. Perhaps the most damning is the Rigor of Development domain score. RAND’s appraisers applauded ODG when the medical literature included a systematic review. But, the appraisers strongly criticized ODG’s treatment recommendations when a systematic review has not been found and WLDI’s authors must conduct its own review of the literature. WLDI uses a medical literature search whenever systematic reviews are unavailable but does not include any information that such a search includes “all eligible articles or only articles that the chapter developer teams preferred to include.” However, RAND did not identify any instances where WLDI failed to include relevant studies.

Clinical Acceptance

RAND’s eight panelists for clinical acceptability utilized the modified AMSTAR (A Measurement Tool to Assess Systematic Reviews) to score ODG as “fair/good”.

The clinical acceptability scores are much higher for ODG than in 2004. The Clinical Acceptability score is itself subject to criticism. EBM rejects the consensus-based approach because of the concerns that healthcare providers might pursue treatment options that offer no or little benefit but are the preference of certain healthcare providers. Yet, RAND selected eight practitioners to assess ODG’s “validity” or acceptance by healthcare providers.

One or two panelists could downgrade the score if they disagreed with each other. The eight panelists included one US spinal orthopedic and one Australian spinal neurosurgeon. Some panelists voiced strong opposition to ODG’s recommendation against epidural steroid injections for neck and upper back injuries. Other panelists agreed with the ODG. The disagreement among panelists dropped the score to “uncertain” instead of “valid”. In another case, two panelists disagreed with each other on the use of spinal cord stimulators for chronic pain resulting in an “uncertain” validity determination. Again, a small group of panelists who disagree among themselves results in an invalid determination? Is this consensus defeating evidence? Or lack of consensus defeating evidence?

In another case, RAND commented that a “panelist critiqued ODG’s recommendations against surgical treatments for degenerative disc disease and degenerative scoliosis.” RAND does not name the panelist or discuss if this critique is valid or represents that panelists’ disagreement with the current EBM. RAND’s eight panelists expressed their opinions on the evidence apparently disagreeing with the evidence. Isn’t this a consensus-based approach to evaluating evidence?

RAND’s Score in Context

WLDI is probably not thrilled with a (1) 58% Technical Quality score or (2) its “fair/good” Clinical Acceptance score. ODG’s critics will have new ammunition, especially from healthcare provider groups with their own financial agendas. Few will remember (or care) that ODG’s Clinical Acceptance score is much higher now than when studied in 2004.

And few will care the RAND study has several limitations when used to evaluate the ODG Guidelines. First, the study places ODG in a vacuum without a study of other guidelines (like RAND reviewed in 2004) or at least a side-by-side with other occupational guidelines (which RAND reviewed for opiates in 2013). Second, several RAND-identified problems seem more “form” than “substance”. Third, the Clinical Acceptance evaluation could be criticized as eight practitioners participating in an online review arriving at an “uncertain” (which is considered not “valid”) determination when two or more of those clinicians disagreed with themselves. Finally, and perhaps most importantly, RAND actually does not assess the ODG itself for adherence to EBM.

Those criticisms aside, RAND is an expert in the field of methodology and study. WLDI does have demonstrated methodology deficiencies using the AGREE II and AMSTAR tools. Perhaps WLDI’s new owners could lend their expertise to raise their technical quality scores. Further, WLDI can incorporate the criticisms found in the Clinical Acceptance assessment resulting in a much higher score next time RAND chooses to publish a study.

According to RAND, ODG is an imperfect tool, but a tool is better than no tool at all. RAND does recommend ODG’s use albeit with some modifications, to “yield the best possible clinical outcomes in additional to reducing unnecessary healthcare expenses.”

Blog Post: 2017 RAND Study Evaluates Occupational Disability Guidelines (ODG) published first on http://www.lexisnexis.com/legalnewsroom/workers-compensation/rss.aspx

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